使用单支和双侧、带蒂和骨骼化胸廓内动脉时发生纵隔炎和深部胸骨伤口感染的风险。
The risk of mediastinitis and deep sternal wound infections with single and bilateral, pedicled and skeletonized internal thoracic arteries.
作者信息
Lazar Harold L
机构信息
Division of Cardiac Surgery, Boston University School of Medicine, Boston, MA, USA.
出版信息
Ann Cardiothorac Surg. 2018 Sep;7(5):663-672. doi: 10.21037/acs.2018.06.11.
Abstract
Bilateral internal thoracic artery (BITA) grafting may prolong survival in coronary artery bypass graft (CABG) patients, but its use has been curtailed due to concerns of deep sternal wound infections (DSWI) resulting in mediastinitis. This article examines the association of single internal thoracic artery (SITA) and BITA grafting and the role of harvesting techniques with the development of DSWI in CABG patients. The development of DSWI following BITA grafting is multifactorial and is independent of the harvesting technique.
摘要
双侧胸廓内动脉（BITA）移植术可能会延长冠状动脉旁路移植术（CABG）患者的生存期，但由于担心深部胸骨伤口感染（DSWI）导致纵隔炎，其应用受到了限制。本文探讨了单胸廓内动脉（SITA）和BITA移植与CABG患者DSWI发生之间的关联，以及取材技术在其中的作用。BITA移植术后DSWI的发生是多因素的，且与取材技术无关。
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